Riesgo cardiovascular en diálisis peritoneal - Un estudio multicéntrico portugués
Cardiovascular risk in peritoneal dialysis ¿ A Portuguese multicenter study
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Un estudio multicéntrico portugués" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig1" "etiqueta" => "Tab. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "copyright" => "Elsevier España" "figura" => array:1 [ 0 => array:4 [ "imagen" => "12131_16025_51844_en_t1_8.12131_02.jpg" "Alto" => 752 "Ancho" => 2169 "Tamanyo" => 361080 ] ] "descripcion" => array:1 [ "en" => "Laboratory data of the prevalent population on peritoneal dialysis (n=600)." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => " Grupo Multicéntrico Portugués de Diálisis Peritoneal, Grupo Multicentrico Portugues de Diálisis Peritoneal, Marta Neves, Susana Machado, Luís Rodrigues, Andreia Borges, Pedro Maia, Mário Campos" "autores" => array:8 [ 0 => array:1 [ "apellidos" => "Grupo Multicéntrico Portugués de Diálisis Peritoneal" ] 1 => array:1 [ "apellidos" => "Grupo Multicentrico Portugues de Diálisis Peritoneal" ] 2 => array:2 [ "nombre" => "Marta" "apellidos" => "Neves" ] 3 => array:2 [ "nombre" => "Susana" "apellidos" => "Machado" ] 4 => array:2 [ "nombre" => "Luís" "apellidos" => "Rodrigues" ] 5 => array:2 [ "nombre" => "Andreia" "apellidos" => "Borges" ] 6 => array:2 [ "nombre" => "Pedro" "apellidos" => "Maia" ] 7 => array:2 [ "nombre" => "Mário" "apellidos" => "Campos" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "X0211699514053771" "doi" => "10.3265/Nefrologia.pre2013.Dec.12131" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699514053771?idApp=UINPBA000064" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251414053779?idApp=UINPBA000064" "url" => "/20132514/0000003400000002/v0_201502091616/X2013251414053779/v0_201502091616/en/main.assets" ] ] "itemSiguiente" => array:17 [ "pii" => "X0211699514053763" "issn" => "02116995" "doi" => "10.3265/Nefrologia.pre2014.Feb.12034" "estado" => "S300" "fechaPublicacion" => "2014-03-01" "documento" => "article" "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "fla" "cita" => "Nefrologia. 2014;34:212-5" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 8376 "formatos" => array:3 [ "EPUB" => 328 "HTML" => 7287 "PDF" => 761 ] ] "es" => array:12 [ "idiomaDefecto" => true "titulo" => "Genotipo de la haptoglobina y riesgo de nefropatía diabética en pacientes con diabetes mellitus tipo 1: estudio en población española" "tienePdf" => "es" "tieneTextoCompleto" => "es" "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "212" "paginaFinal" => "215" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Haptoglobin genotype and risk of diabetic nephropathy in patients with type 1 diabetes mellitus: a study on a Spanish population" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig1" "etiqueta" => "Tab. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "copyright" => "Elsevier España" "figura" => array:1 [ 0 => array:4 [ "imagen" => "12034_19904_44423_es_12034_t1.jpg" "Alto" => 145 "Ancho" => 700 "Tamanyo" => 75414 ] ] "descripcion" => array:1 [ "es" => "Genotipo de la haptoglobina y frecuencias de los alelos en la población del estudio" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Antonio J. 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El principal objetivo del estudio fue evaluar el perfil de riesgo CV y prevalencia de enfermedad CV en pacientes en diálisis peritoneal (DP) en Portugal. El segundo fue determinar los parámetros más relacionados con enfermedad CV. <span class="elsevierStyleBold">Métodos:</span> Estudio retrospectivo, multicéntrico, de los adultos en DP. Se incluyeron seiscientos pacientes (56,7 % varones, edad media 53,5 ± 15,3 años), en DP por 25,6 ± 21,9 meses. Los pacientes se dividieron: grupo 1 (n = 166) con enfermedad CV y grupo 2 (n = 434) sin enfermedad CV. Las comparaciones se hicieron con los factores tradicionales de riesgo CV y los asociados a uremia y a propia DP; en el análisis multivariante se determinaron las variables asociadas de forma independiente a enfermedad CV. <span class="elsevierStyleBold">Resultados:</span> Al final del estudio, la prevalencia de enfermedad CV fue del 28 %. En el análisis univariante, el grupo 1 presentó mayor frecuencia de varones (<span class="elsevierStyleItalic">p </span>< 0,01), pacientes de más edad (<span class="elsevierStyleItalic">p </span>< 0,01), diabéticos (p < 0,01), presencia de hipertrofia ventricular izquierda (HVI) (<span class="elsevierStyleItalic">p </span>< 0,01), mayor proteína C-reactiva (PCR) (<span class="elsevierStyleItalic">p </span>= 0,04), menor nivel medio de parathormona (<span class="elsevierStyleItalic">p </span>= 0,014), menor fósforo sérico (p = 0,02), menor diuresis diaria (<span class="elsevierStyleItalic">p </span>= 0,04), menor Kt/V semanal (p = 0,008), un mayor uso de icodextrina y soluciones a base de glucosa hipertónica (p < 0,001 y p = 0,006, respectivamente), con más enfermos sometidos a DP continua ambulatoria (DPCA) (<span class="elsevierStyleItalic">p </span>= 0,014) y tenían un transporte peritoneal alto (p = 0,02). El análisis multivariante demostró la influencia independiente de edad > 50 años, PCR > 0,6 mg/dl, sexo masculino, diabetes, HVI, DPCA y anuria. <span class="elsevierStyleBold">Conclusiones:</span> Los factores de riesgo más relacionados con el desarrollo de enfermedad cardiovascular en la DP en Portugal son edad > 50 años, PCR > 0,6 mg/dl, sexo masculino, diabetes, HVI, DPCA y anuria.</p>" ] "en" => array:1 [ "resumen" => "<p class="elsevierStylePara"><span class="elsevierStyleBold">Background:</span> Cardiovascular (CV) disease is the major cause of mortality in patients undergoing renal replacement therapy. The primary aim of the study was to evaluate the CV risk profile and prevalence of CV disease in patients on peritoneal dialysis (PD) in Portugal. The secondary goal was to establish parameters most associated with CV disease. <span class="elsevierStyleBold">Methods:</span> Retrospective, multicenter study of the prevalent adult population on PD. Six hundred patients were included (56.7% male; mean age 53.5±15.3 years), on PD for 25.6±21.9 months. Patients were divided into two groups: group 1 (n=166) with CV disease and group 2 (n=434) without CV disease. Comparisons were made regarding traditional CV risk factors and those associated with uremia and PD itself, and a multivariate analysis was performed to determine variables independently associated with CV disease. <span class="elsevierStyleBold">Results:</span> At the end of the study, the prevalence of CV disease was 28%. At univariate analysis, group 1 presented a higher frequency of males (p<.01), older patients (p<.01), diabetics (p<.01), occurrence of left ventricular hypertrophy (LVH) (p<.01), mean C–reactive protein (CRP) (p=.04), lower mean parathormone level (p=.014), lower serum phosphorus (p=.02), lower daily urine output (p=.04), lower weekly Kt/V (p=.008), increased use of icodextrin and hypertonic glucose-based PD solutions (p<.001 and p=.006, respectively) and more were under continuous ambulatory PD (CAPD) (p=.014) and had a high peritoneal transport status (p=.02). Multivariate analysis provided a significant discriminatory influence pertaining to age >50 years, CRP>0.6mg/dl, male gender, diabetes, LVH, CAPD and anuria, when comparing group 1 and group 2. <span class="elsevierStyleBold">Conclusions:</span> Risk factors most related to the development of CV disease in PD in Portugal are age >50 years, CRP>0.6mg/dL, male gender, diabetes, LVH, CAPD and anuria.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:42 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Kwan BC, Szeto CC. Is peritoneal dialysis kinder for the heart? 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 4 | 4 | 8 |
| 2024 Octubre | 49 | 53 | 102 |
| 2024 Septiembre | 32 | 34 | 66 |
| 2024 Agosto | 49 | 79 | 128 |
| 2024 Julio | 59 | 39 | 98 |
| 2024 Junio | 47 | 46 | 93 |
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| 2024 Marzo | 41 | 37 | 78 |
| 2024 Febrero | 39 | 39 | 78 |
| 2024 Enero | 34 | 34 | 68 |
| 2023 Diciembre | 26 | 21 | 47 |
| 2023 Noviembre | 26 | 41 | 67 |
| 2023 Octubre | 34 | 37 | 71 |
| 2023 Septiembre | 35 | 45 | 80 |
| 2023 Agosto | 24 | 22 | 46 |
| 2023 Julio | 49 | 34 | 83 |
| 2023 Junio | 41 | 23 | 64 |
| 2023 Mayo | 44 | 40 | 84 |
| 2023 Abril | 27 | 25 | 52 |
| 2023 Marzo | 31 | 39 | 70 |
| 2023 Febrero | 27 | 29 | 56 |
| 2023 Enero | 38 | 31 | 69 |
| 2022 Diciembre | 48 | 40 | 88 |
| 2022 Noviembre | 51 | 37 | 88 |
| 2022 Octubre | 58 | 67 | 125 |
| 2022 Septiembre | 44 | 63 | 107 |
| 2022 Agosto | 34 | 48 | 82 |
| 2022 Julio | 41 | 73 | 114 |
| 2022 Junio | 34 | 51 | 85 |
| 2022 Mayo | 31 | 42 | 73 |
| 2022 Abril | 39 | 69 | 108 |
| 2022 Marzo | 38 | 60 | 98 |
| 2022 Febrero | 69 | 50 | 119 |
| 2022 Enero | 29 | 35 | 64 |
| 2021 Diciembre | 42 | 47 | 89 |
| 2021 Noviembre | 42 | 39 | 81 |
| 2021 Octubre | 33 | 50 | 83 |
| 2021 Septiembre | 41 | 51 | 92 |
| 2021 Agosto | 25 | 61 | 86 |
| 2021 Julio | 21 | 37 | 58 |
| 2021 Junio | 37 | 31 | 68 |
| 2021 Mayo | 36 | 56 | 92 |
| 2021 Abril | 60 | 80 | 140 |
| 2021 Marzo | 78 | 42 | 120 |
| 2021 Febrero | 54 | 31 | 85 |
| 2021 Enero | 45 | 23 | 68 |
| 2020 Diciembre | 33 | 18 | 51 |
| 2020 Noviembre | 26 | 21 | 47 |
| 2020 Octubre | 40 | 18 | 58 |
| 2020 Septiembre | 23 | 17 | 40 |
| 2020 Agosto | 24 | 14 | 38 |
| 2020 Julio | 27 | 19 | 46 |
| 2020 Junio | 26 | 29 | 55 |
| 2020 Mayo | 36 | 27 | 63 |
| 2020 Abril | 22 | 25 | 47 |
| 2020 Marzo | 20 | 17 | 37 |
| 2020 Febrero | 39 | 21 | 60 |
| 2020 Enero | 26 | 22 | 48 |
| 2019 Diciembre | 26 | 33 | 59 |
| 2019 Noviembre | 28 | 32 | 60 |
| 2019 Octubre | 37 | 26 | 63 |
| 2019 Septiembre | 31 | 27 | 58 |
| 2019 Agosto | 26 | 18 | 44 |
| 2019 Julio | 35 | 18 | 53 |
| 2019 Junio | 37 | 27 | 64 |
| 2019 Mayo | 30 | 20 | 50 |
| 2019 Abril | 62 | 27 | 89 |
| 2019 Marzo | 60 | 24 | 84 |
| 2019 Febrero | 30 | 23 | 53 |
| 2019 Enero | 22 | 27 | 49 |
| 2018 Diciembre | 88 | 58 | 146 |
| 2018 Noviembre | 118 | 24 | 142 |
| 2018 Octubre | 69 | 24 | 93 |
| 2018 Septiembre | 36 | 10 | 46 |
| 2018 Agosto | 54 | 21 | 75 |
| 2018 Julio | 48 | 13 | 61 |
| 2018 Junio | 55 | 22 | 77 |
| 2018 Mayo | 70 | 20 | 90 |
| 2018 Abril | 90 | 21 | 111 |
| 2018 Marzo | 79 | 15 | 94 |
| 2018 Febrero | 50 | 13 | 63 |
| 2018 Enero | 57 | 8 | 65 |
| 2017 Diciembre | 63 | 17 | 80 |
| 2017 Noviembre | 62 | 15 | 77 |
| 2017 Octubre | 45 | 11 | 56 |
| 2017 Septiembre | 43 | 14 | 57 |
| 2017 Agosto | 45 | 14 | 59 |
| 2017 Julio | 57 | 19 | 76 |
| 2017 Junio | 56 | 16 | 72 |
| 2017 Mayo | 64 | 17 | 81 |
| 2017 Abril | 53 | 12 | 65 |
| 2017 Marzo | 51 | 21 | 72 |
| 2017 Febrero | 32 | 8 | 40 |
| 2017 Enero | 28 | 11 | 39 |
| 2016 Diciembre | 84 | 6 | 90 |
| 2016 Noviembre | 104 | 13 | 117 |
| 2016 Octubre | 113 | 30 | 143 |
| 2016 Septiembre | 218 | 3 | 221 |
| 2016 Agosto | 280 | 7 | 287 |
| 2016 Julio | 243 | 10 | 253 |
| 2016 Junio | 143 | 0 | 143 |
| 2016 Mayo | 157 | 0 | 157 |
| 2016 Abril | 147 | 0 | 147 |
| 2016 Marzo | 168 | 0 | 168 |
| 2016 Febrero | 176 | 0 | 176 |
| 2016 Enero | 211 | 0 | 211 |
| 2015 Diciembre | 175 | 0 | 175 |
| 2015 Noviembre | 171 | 0 | 171 |
| 2015 Octubre | 190 | 0 | 190 |
| 2015 Septiembre | 170 | 0 | 170 |
| 2015 Agosto | 144 | 0 | 144 |
| 2015 Julio | 148 | 0 | 148 |
| 2015 Junio | 86 | 0 | 86 |
| 2015 Mayo | 156 | 0 | 156 |
| 2015 Abril | 46 | 0 | 46 |
| 2015 Febrero | 1565 | 0 | 1565 |
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